| NPI | 1124382122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX Q4745) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0116024805) |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2024-06-05 |